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References 1. Mozaffarian D, Benjamin EJ, Go AS, Arnett DK, Blaha MJ, Cushman M, et al. Heart disease and stroke statistics-- 2015 update: a report from the American Heart Association. Circulation. 2015 Jan;131(4):e29-322. DOI: 10.1161/CIR.0000000000000152 2. Muller D, Agrawal R, Arntz HR. How sudden is sudden cardiac death? Circulation. Sep;114(11):1146-50. 3. Nichol G, Thomas E, Callaway CW, Hedges J, Powell JL, Aufderheide TP, et al. Regional variation in out-of-hospital cardiac arrest incidence and outcome. JAMA. Sep;300(12):1423-31. 4. Centers for Disease

Introduction Out-of-Hospital Cardiac Arrest (OHCA) remains one of the most challenging health care problems, despite recent efforts to improve cardiopulmonary resuscitation (CPR) with the development of evidence-based guidelines and care-bundle systems. The number of patients who achieve return of spontaneous circulation (ROSC) and survive to hospital discharge varies from 7 to 40% depending on the clinical setting [ 1 , 2 , 3 , 4 , 5 , 6 ]. The bulk of the available data reporting survival predictors, comes from studies addressing the overall OHCA

REFERENCES 1. Go AS, Mozaffarian D, Roger VL, et al. Heart Disease and Stroke Statistics—2014 Update. Circulation. 2014;129:e28-e292. https://doi.org/10.1161/01.cir.0000441139.02102.80 2. Berdowski J, Berg RA, Tijssen JG, Koster RW. Global incidences of out-of-hospital cardiac arrest and survival rates: Systematic review of 67 prospective studies. Resuscitation. 2010;81:1479-1487. doi: 10.1016/j.resuscitation.2010.08.006. 3. Fukuda T, Ohashi-Fukuda N, Kondo Y, Sera T, Doi K, Yahagi N. Epidemiology, Risk Factors, and Outcomes of Out-of-Hospital Cardiac Arrest

, Pstragowski K, Kubica JM, et al. ACS networkbased implementation of therapeutic hypothermia for the treatment of comatose out-of-hospital cardiac arrest survivors improves clinical outcomes: the first European experience. Scand J Trauma Resusc Emerg Med. 2013;21:22. doi: 10.1186/1757-7241-21-22. 5. Tubaro M, Danchin N, Goldstein P, et al. Pre-hospital treatment of STEMI patients. A scientific statement of the Working Group Acute Cardiac Care of the European Society of Cardiology. Acute Card Care. 2011;13:56-67. doi: 10.3109/17482941.2011.581292. 6. Rizzello V, Lucci D

References Anonymous. (2014). Statistikas dati par iedzîvotâju mirstîbu. http://www.spkc.gov.lv/veselibas-aprupes-statistika/ (accessed 2 November 2014). Antwood, C. Eisenberg, M. S., Herlitz, J., Rea, T. D. (2005). Incidence of EMS-treated out-of-hospital cardiac arrest in Europe. Resuscitation, 67, 75-80. Birkenes, T. S., Myklebust, H., Neset, A., Kramer-Johansen, J. (2014). Quality of CPR performed by trained bystanders with optimized pre-arrival instructions. Resuscitation, 85 (1), 124-130. Bobrow, B. J., Spaite, D. W., Berg, R. A., Stolz, U., Sanders, A. B

. Heart. 2015;101:1225-32. 11. Mylotte D, Morice MC, Eltchaninoff H, et al. Primary percutaneous coronary intervention in patients with acute myocardial infarction, resuscitated cardiac arrest, and cardiogenic shock: the role of primary multivessel revascularization. JACC Cardiovasc Interv. 2013;6:115-25. 12. Ostenfeld S, Lindholm MG, Kjaergaard J, et al. Prognostic implication of out-of-hospital cardiac arrest in patients with cardiogenic shock and acute myocardial infarction. Resuscitation. 2015;87:57-62. 13. Aissaoui N, Puymirat E, Simon T, et al. Long-term outcome

References 1. Kern KB. Optimal Treatment of Patients Surviving Out-of- Hospital Cardiac Arrest. JACC Cardiovasc Interv. 2012;5:597-605. 2. Steg G, James SK, Atar D, et al. ESC Guidelines for the management of acute myocardial infarction in patients presenting with ST-segment elevation The Task Force on the management of ST-segment elevation acute myocardial infarction of the European Society of Cardiology. Eur Heart J. 2012;33:2569-619. 3. Bernard SA, Gray TW, Buist MD, et al. Treatment of comatose survivors of out-of-hospital cardiac arrest with induced

Introduction Intracranial haemorrhage (ICH) is a known, but a rare cause of out of hospital cardiac arrest (OHCA) leading to the development of non-shockable rhythms such as asystole or pulseless electrical activity (PEA). The incidence of ICH causing OHCA is unclear but 4-18% of OHCA are caused by subarachnoid haemorrhage (SAH) [ 1 ]. Fatal cerebellar haemorrhage leading to a cardiac arrest is very rare compared to SAH. Case Report A 77-years old Caucasian male with a history of coronary artery triple bypass surgery, atrial fibrillation and aortic valve

, Herlitz J et al. Early Cardiopulmonary Resuscitation in Out-of-Hospital Cardiac Arrest. New Eng J Med. 2015;372:2307-2315. 4. Roffi M, Patrono C, Collet JP, et al. 2015 ESC Guidelines for the management of acute coronary syndromes in patients presenting without persistent ST-segment elevation: Task Force for the Management of Acute Coronary Syndromes in Patients Presenting without Persistent ST-Segment Elevation of the European Society of Cardiology (ESC). Eur Heart J. 2015; pii: ehv320. [Epub ahead of print] 5. Collinson J, Flather MD, Fox KA, et al. Clinical outcomes

References 1. Centers for Disease Control and Prevention (CDC). Statespecific mortality from sudden cardiac death - United States, 1999, MMWR Morb Mortal Wkly Rep, 2002;51:123-6. 2. Myerburg RJ, Castellanos A. Cardiac arrest and sudden cardiac death. Braunwald E, ed. Heart Disease: A Textbook of Cardiovascular Medicine. 5th ed. Philadelphia, Pa: WB Saunders; 1997:742-779. 3. de Vreede-Swagemakers JJ, Gorgels AP, Dubois-Arbouw WI, et al. Out-of-hospital cardiac arrest in the 1990’s: a populationbased study in the Maastricht area on incidence, characteristics and